EMResource, Hospital Polling & Ambulance Patient Diversion S-SV EMS MICN Course Module 6 EMResource, Hospital Polling & Ambulance Patient Diversion S-SV EMS Agency MICN Training (Updated 12-2018)

S-SV EMS Agency MICN Training (Updated 12-2018) EMResource An online electronic hospital availability and polling tool used for the following: Updating hospital status (required at least every 24 hours – typically at 8:00 am) Census and patient receiving capability polling MCI event polling HAvBED polling ED & Census polling S-SV EMS Agency MICN Training (Updated 12-2018)

S-SV EMS Agency MICN Training (Updated 12-2018) HAvBED Polling ‘Hospital Available Beds for Emergencies and Disasters’ Developed by the U.S. Department of Health and Human Services to rapidly assess hospital inpatient bed availability throughout the country S-SV EMS Agency MICN Training (Updated 12-2018)

S-SV EMS Agency MICN Training (Updated 12-2018) HAvBED Poll Worksheet Used to collect data for entering into EMResource during a HAvBED poll S-SV EMS Agency MICN Training (Updated 12-2018)

Available & Staffed Bed Definitions ‘Available Beds’: Vacant, immediately available for patients, with staff to operate under normal circumstances ‘Staffed Beds’: Licensed and physically available with staff to attend patient Includes both available and occupied beds S-SV EMS Agency MICN Training (Updated 12-2018)

S-SV EMS Agency MICN Training (Updated 12-2018) ED & Census Poll Allows real-time ED & hospital census assessment Utilized during periods of system surge, when a hospital initiates ambulance diversion, or when a hospital declares an internal disaster S-SV EMS Agency MICN Training (Updated 12-2018)

ED & Census Poll Worksheet Used to collect data for entering into EMResource during an ED & Census Poll S-SV EMS Agency MICN Training (Updated 12-2018)

Responding to Hospital Polls When an event is created in EMResource, you will receive an audible alert and pop-up message requesting data for your facility S-SV EMS Agency MICN Training (Updated 12-2018)

Responding to Hospital Polls If your data is readily available, enter it in the appropriate categories and select ‘Save’ If you data is not available, you may click ‘Remind me in 10 minutes’ to silence the alert S-SV EMS Agency MICN Training (Updated 12-2018)

Responding to Hospital Polls To subsequently enter or update your data, click the applicable event in the top colored bar S-SV EMS Agency MICN Training (Updated 12-2018)

Responding to Hospital Polls Click the ‘keys’ icon next to your facility name to open the data entry screen S-SV EMS Agency MICN Training (Updated 12-2018)

Responding to Hospital Polls Click “Select All” to expand all categories S-SV EMS Agency MICN Training (Updated 12-2018)

Responding to Hospital Polls Enter your data and click ‘Save’ to report If you did not click “Select All”, you will need to click each category to expand it S-SV EMS Agency MICN Training (Updated 12-2018)

Hospital Diversion – Patient Surge Ambulance patient diversion often causes significant impacts on the EMS system, patients and their family members, and has a high potential to negatively impact patient care S-SV EMS Agency MICN Training (Updated 12-2018)

Hospital Diversion – Patient Surge Diversion must only be considered when conditions exist that negatively and profoundly impact the hospital’s ability to provide safe patient care, and after ALL hospital diversion avoidance measures have been implemented S-SV EMS Agency MICN Training (Updated 12-2018)

Hospital Diversion – Patient Surge Diversion avoidance measures include: Activation of HICS and internal surge plans Increase in ED and/or other department staff Review of mitigation attempts by admin. supervisors Activation of backup patient care/diagnostic areas Cancellation of elective surgical procedures (as appropriate) Expedited patient discharges (as appropriate) Patient transfers to other facilities (as appropriate) S-SV EMS Agency MICN Training (Updated 12-2018)

Hospital Diversion – Other Causes Diversion may also be necessary for the following: CT scanner failure resulting in the need to divert patients with neurological signs/symptoms of stroke or head injury Trauma or STEMI patient diversion Critical diagnostic/treatment equipment failure, or Trauma or STEMI director/designee determines that the hospital is unable to care for additional trauma or STEMI pts S-SV EMS Agency MICN Training (Updated 12-2018)

Hospital Diversion – Other Causes Diversion may also be necessary for the following: Internal disaster Unforeseeable physical or logistical situation/circumstance that curtails routine patient care and renders continued ambulance patient delivery unsafe S-SV EMS Agency MICN Training (Updated 12-2018)

S-SV EMS Agency MICN Training (Updated 12-2018) S-SV EMS Notification S-SV EMS shall be contacted early, and be provided appropriate updates, when a hospital is experiencing a patient surge event that may result in the need to implement ambulance diversion Notification should also include the submission of a completed Ambulance Patient Diversion form when necessary S-SV EMS Agency MICN Training (Updated 12-2018)

S-SV EMS Agency MICN Training (Updated 12-2018) S-SV EMS Notification S-SV EMS must be notified prior to implementing ambulance diversion for a patient surge event, or as soon as possible for an internal disaster event A completed Ambulance Patient Diversion form is required to be submitted prior to implementing ambulance diversion for a patient surge event - an updated form is required to be submitted every 3 hours for an ongoing diversion event S-SV EMS Agency MICN Training (Updated 12-2018)

S-SV EMS Agency MICN Training (Updated 12-2018) S-SV EMS Notification Any of the following circumstances will result in denial of an ambulance patient diversion request due to patient surge: Failure to submit an ‘Ambulance patient Diversion Form’ S-SV EMS determines that the requesting hospital has not taken appropriate diversion avoidance measures S-SV EMS determines that the next closest hospital is unable to absorb the anticipated impact caused by approving the diversion request S-SV EMS Agency MICN Training (Updated 12-2018)

Updating EMResource Status Go to the EMResource main view screen Click your ‘Facility’ status S-SV EMS Agency MICN Training (Updated 12-2018)

Updating EMResource Status Select the appropriate facility status S-SV EMS Agency MICN Training (Updated 12-2018)

Updating EMResource Status Input incident specific details in the ‘Comment’ section – do NOT leave this blank Click ‘Save’ to complete/post status update S-SV EMS Agency MICN Training (Updated 12-2018)

Ambulance Pt. Diversion Form Follow contact and submission instructions on the form S-SV EMS Agency MICN Training (Updated 12-2018)

Diversion Cancellation/Resolution Any of the following circumstances will result in cancellation of ambulance diversion: If an additional adjacent hospital requests to initiate diversion due to patient surge In the event of an MCI or declared disaster requiring patient distribution to the facility on diversion A hospital will only be allowed to remain on diversion for a maximum of 6 hours, at which point they are required to re-open S-SV EMS Agency MICN Training (Updated 12-2018)